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[libribook.com] Traumatic Scar Tissue Management 1st Edition
understanding of the body’s adaptation to the scar release. This of course is donewith your client’s permission. If a cell phone is used to take photos it isrecommended that any client photos are downloaded off the phone on to a moresecure device, for the sake of preserving client confidentiality.Another useful pre-treatment measurement tool is to ask the client to providebody awareness information once they are on the treatment table. Ask them tocheck-in with their body and notice any areas of discomfort or any othersensation they may feel (compressed, tight, body region not making contact withthe table) and identify any movement that elicits pain, restriction, nervesensations or paresthesia.During and post-treatment assessment/evaluation anddocumentationPeriodically, during treatment and at the conclusion of the session, ask yourclient to repeat any movement that is restricted or that elicits sensations (pain orparesthesia). Note any change in movement quality and movement range. Whatchanges does the client feel? Post-treatment, repeat the measurements andphotos. Compare the results. Did your protocol for the session result inmeasureable/visible changes? If not, consider what might need to be donedifferently in the next session? If there have been changes, consider what clienthome or selfcare measures will be productive in supporting treatment outcomesustainability and progress.Note the pressure used during the session and apply standardized outcomemeasures to track the progress of the client goals and therapist-intendedoutcomes.Progress can be measured in a number of ways:• Pain changes (less, none, intermittent versus constant, location)• Functional changes (more functional with less discomfort during activityand/or less discomfort following activity – client’s will often describe this as‘less having to pay for it’)• Agitation (recurrence) occurs less frequently• Agitation (recurrence) is less intense• Recuperates or recovers more quickly after agitations
• Client self-management strategies are more productive.Connective Tissue (Ct) and Fascia/Myofascia Assessment andEvaluationWidespread use of medical diagnostic testing specific to identifying/assessingCT and fascia (encompassing skin, superficial fascia (SF), deep fascia (DF) andthe myofascial envelopes) dysfunction is essentially non-existent (Prendergast &Rummer 2012).However, some CT and fascia researchers and clinicians (e.g. Fourie, Langevin,Pohl, Rodríguez & del Río and the Steccos, to name a few) are now usingultrasonography to measure the structure and organization of the CT network –in normal and pathological states and to visualize pre- and post-treatmentchanges in tissue density and glide. The ability to visualize moving (or not) livetissue and to substantiate positive pre/post tissue changes is of profoundimportance to the manual therapy fields.
- Page 649 and 650: BoundariesOver the course of our li
- Page 651 and 652: Box 8.1Aside from obvious sexually
- Page 653 and 654: Box 8.2Eight principles that guide
- Page 655 and 656: Effective Listening and Empathetic
- Page 657 and 658: Clinical ConsiderationNever underst
- Page 659 and 660: Clinical ConsiderationAs manual the
- Page 661 and 662: Interview exampleMary is a client w
- Page 663 and 664: SummarySeveral pieces of informatio
- Page 665 and 666: with traumatic scar tissue clients.
- Page 667 and 668: ‘Physicians’ perspective of mas
- Page 669 and 670: Referral exampleTonya, a 21-year-ol
- Page 671 and 672: Referral exampleJane experienced me
- Page 673 and 674: CHAPTER 9Assessment and treatmentHe
- Page 675 and 676: MT. Additionally, sometimes people
- Page 677 and 678: Traumatic Scars and Associated Impa
- Page 679 and 680: Clinical ConsiderationReduction of
- Page 681 and 682: Clinical ConsiderationMT has been f
- Page 683 and 684: Clinical ConsiderationMassage can h
- Page 685 and 686: Health History and InterviewA stand
- Page 687 and 688: surrounding muscle structures that
- Page 689 and 690: we are gathering information about
- Page 691 and 692: Keep in mind that the therapist’s
- Page 693 and 694: Continuous evaluation during the se
- Page 695 and 696: Pre-treatment assessment/evaluation
- Page 697 and 698: Scar scalesScar scales can be used
- Page 699: response to negative pressure. It h
- Page 703 and 704: BindOnce barrier is reached or surp
- Page 705 and 706: Table 9.1Comparative of normal and
- Page 707 and 708: 2-3 times a year effectively addres
- Page 709 and 710: Myofascial meridian exampleSuperfic
- Page 711: Clinical ConsiderationKnee and back
- Page 715 and 716: Clinical ConsiderationApplication t
- Page 717 and 718: Pathophysiological ConsiderationMec
- Page 719 and 720: Clinical ConsiderationStecco and co
- Page 721 and 722: Safety FirstMT appears to have few
- Page 723 and 724: Deep workThe deep techniques noted
- Page 725 and 726: Psychological considerationsIt is w
- Page 727 and 728: Clinical ConsiderationMT dosage and
- Page 729 and 730: Developing a sound treatment strate
- Page 731 and 732: Treatment outcomesEssentially, earl
- Page 733 and 734: Dosage considerationsThe presence o
- Page 735 and 736: Clinical ConsiderationNumerous syst
- Page 737 and 738: Clinical ConsiderationHeat in the t
- Page 739 and 740: Clinical ConsiderationBest and co-w
- Page 741 and 742: Pathophysiological considerationCom
- Page 743 and 744: Clinical ConsiderationTiming is eve
- Page 745 and 746: Clinical ConsiderationEvidence sugg
- Page 747 and 748: Clinical ConsiderationSeveral studi
- Page 749 and 750: Clinical ConsiderationPreventive me
understanding of the body’s adaptation to the scar release. This of course is done
with your client’s permission. If a cell phone is used to take photos it is
recommended that any client photos are downloaded off the phone on to a more
secure device, for the sake of preserving client confidentiality.
Another useful pre-treatment measurement tool is to ask the client to provide
body awareness information once they are on the treatment table. Ask them to
check-in with their body and notice any areas of discomfort or any other
sensation they may feel (compressed, tight, body region not making contact with
the table) and identify any movement that elicits pain, restriction, nerve
sensations or paresthesia.
During and post-treatment assessment/evaluation and
documentation
Periodically, during treatment and at the conclusion of the session, ask your
client to repeat any movement that is restricted or that elicits sensations (pain or
paresthesia). Note any change in movement quality and movement range. What
changes does the client feel? Post-treatment, repeat the measurements and
photos. Compare the results. Did your protocol for the session result in
measureable/visible changes? If not, consider what might need to be done
differently in the next session? If there have been changes, consider what client
home or selfcare measures will be productive in supporting treatment outcome
sustainability and progress.
Note the pressure used during the session and apply standardized outcome
measures to track the progress of the client goals and therapist-intended
outcomes.
Progress can be measured in a number of ways:
• Pain changes (less, none, intermittent versus constant, location)
• Functional changes (more functional with less discomfort during activity
and/or less discomfort following activity – client’s will often describe this as
‘less having to pay for it’)
• Agitation (recurrence) occurs less frequently
• Agitation (recurrence) is less intense
• Recuperates or recovers more quickly after agitations
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